Massage info on Pathology

Question 1

Skin Cancer

Answer 1

any tumor is local contraindicatation

Question 2

Fibromyalgia

Answer 2

Gentle Massage and NO Ice or cold massage.

Important not to treat trigger points with deep or aggressive pressure. Use shorter pulsing gentle pressure in trigger points.

Question 3

Myofascial Pain Syndrome

Answer 3

Massage is indicated to help clean up debris left behind from chronic muscle tightness

Question 4

Myositis Ossificans

Answer 4

always local contraindication. If injury is acute it is unwise to increase bleeding or impair the healing process by stimulating and stretching the affected tissue.

Question 5

Shin Splints

Answer 5

Swedish is contraindicated when acute to rule out compartment syndrome.

as long as it is not to advanced, Massage is indicated.

Question 6

Spasms, Cramps

Answer 6

Ischemic or exercise related cramps indicate massage as long as the ischemia isn’t relasted to a contraindicating condition.

even with underlying pathology has been ruled out massage must be used with caution. It is best to use gentle stretch of the tendon and antagonists of the cramping muscle.

Question 7

Strains

Answer 7

Locally contraindicated while in acute stage. RICE Swedish massageindicated when subacute.

Superior centripedal flushing can decrease swelling. supportive when subacute

Question 8

Fractures

Answer 8

acute or unset broken bones are locally contraindicated for massage.

Question 9

Osteoporosis

Answer 9

Indicated with caution for the clients resilience.

Question 10

Postural Deviations

Answer 10

Massage is indicated if no other contraindication is present.

Question 11

Ankylosing Spondylitis

Answer 11

Joint disorder: Always work in conjunction with healthcare provider. Swedish Massage is indicated if not in flare up.

Question 12

Dislocations

Answer 12

Locally contraindicated while in acute: otherwise supportive

an old dislocation that occasionally subluxates or even entirely dislocates

without trauma, massage will do no harm as long as care is taken to be sure he or she is positioned in a way that feels safe and comfortable

Question 13

Gout

Answer 13

Gout systemically contraindicates massage when in acute. Gouty joints locally contraindicate massage at all times.

Ice is contraindicated lowering the temp promotes crystal formation.

Question 14

Osteoarthritis

Answer 14

Indicated during subacute stage. Reduces pain through release of the muscles surrounding the affected joints

and to maintain range of motion through gentle stretching and passive range of motion.

Question 15

Patellofemoral Syndrome

Answer 15

PFS indicates massage as long as the knee isn’t acutely inflamed.

Question 16

Rheumatoid Arthritis

Answer 16

Contraindicated during Acute (flare) phase.

Indicated during subacute phasewithin clients tolerance.

Question 17

Spondylosis

Answer 17

Massage is appropriate with caution. if bone spurs are irratating nerves the surrounding muscles tend to splint

them against painful movement. Highly recommended to work with a primary caregiver who has a complete set of MRI or Radiographs.

Question 18

Sprains

Answer 18

Locally contraindicated when in acute; proximal flushing can decrease swelling, supportive when in acute.

Massage is great for sprains It can reduce adhesions and influence the direction of new collgen fibers.

Question 19

Temporomandibular Joint Disorder

Answer 19

Massage can be useful in the teeth clinching stages of TMJ problems,

Question 20

Muscular Dystrophy

Answer 20

massage is okay along with physical therapy to stretch muscles. working along with physical therapists.

Question 21

bursitis

Answer 21

local contraindication while acute phase. Massage is indicated for the rest of the body, when there is no infection.

Question 22

hernia

Answer 22

locally contraindicated any deep massage

Question 23

Plantar Fasciiitis

Answer 23

Massage is indicated responds well to bodywork.

Question 24

tenosynovitis

Answer 24

locally contraindicated while acute; proximal centripedal flushing can help decrease swelling. Supportive when subacute.

Question 25

Whiplash

Answer 25

Locally contraindicated when acute. Indicated while subacute.

Question 26

Carpal Tunnel Syndrome

Answer 26

Indicated if massage does not elicit symptoms; stay within pain tolerance

Question 27

Low back pain

Answer 27

Indicated when Subacute; work to alleviate compensatory distortion when muscle splinting is no longer necessary.

Question 28

Thoracic Outlet Syndrome

Answer 28

Indicated, especially when pain is muscular.

Question 29

Multiple Sclerosis

Answer 29

Massage indicated in subacute stages. Care must be taken not to overstimulate the client. Symptoms may also be exacerbated by the heat.

Question 30

Peripheral Neuropathy

Answer 30

supportive but be cautious about reduced sensation and staying within pain tolerance

Question 31

dystonia/torticollis

Answer 31

Supportive massage can reinforce a parasympathetic state.

Question 32

Parkinson Disease

Answer 32

Indicated; can help with sleep and rigidity. Clients may need assistance getting on and off the table.

Question 33

Postpolio syndrome

Answer 33

Contraindicated while acute; otherwise indicated for improved muscle function.

Question 34

Anxiety Disorders

Answer 34

Indicated can help reinforce parasympathetic state if client feels safe.

relaxation techniques, breathing exercises, and biofeedback are often taught to anxiety disorder patients.

Question 35

Depression

Answer 35

Massage is indicated can help restore a healthy stress response system.

Question 36

Bell’s Palsy

Answer 36

Indicated for massage but important to rule out causes of the nerve damage that may contraindicate massage.

Massage keeps facial muscles elastic and local circulation strong. Sets the stage for more complete recovery when more nerve supply is eventually restored.

Question 37

Cerebral Palsy

Answer 37

Massage is supportive with caution for clear communication between client and therapist.

Question 38

Stroke

Answer 38

Massage can play a role in recovery of stroke survivor, but some cautions must be considered.

clients cardiovascular health must be considered. Important to work with health care provider.

Question 39

Headaches

Answer 39

Headaches due to infection or CNS injury contraindicate massage person with vascular headache generally avoid stimuli like massage. Massage is indicated for tension headaches.

Question 40

Seizure Disorders

Answer 40

Massage is indicated unless client is having a seizure. If client has a seizure during massage make sure they are safe and wait until seizure has subsided. If client has trouble breathing at any time or is injured during seizure call 911.

it is important to ask client how they want to be treated if they should have a seizure during treatment.

Question 41

Embolism, Thrombus

Answer 41

Massage is systemically contraindicated, later be aware that anticoagulant use requires Gentle touch.

PNF/ MET/ Stretching is supportive.

Polarity is indicated can help reinforce a parasympathetic state.

Question 42

Thrombophlebitis

Answer 42

Massage is contraindicated refer client to seek medical attention immediately. Client may be complaining of deep ache in calf that they want worked out. This could lead to the massage therapist working out a blood clot that will land the client in the hospital. It is best to refer client to a primary healthcare provider.

Question 43

Atherosclerosis

Answer 43

Depends on clients homeostasis level. Deep tissue is contraindicated during advanced stage.

Lyphatic drainage is supportive.

Polarity is indicated within clients comfort.

PNF/MET/Stretching is supportive

Swedish is indicated for parasympathetic effec stay within activity

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